NPI | 1942089537 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: GA PSY004729) |
Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: GA PSY004729) |
Enumeration Date | 2023-09-25 |
Last Update Date | 2023-09-25 |